中国北方沿海地区高血压患者睡眠质量与糖尿病的相关性分析

The relationship between sleep quality and the risk of diabetes in hypertensive adults in northern coastal areas of China

目的探讨中国北方沿海地区高血压患者睡眠质量与糖尿病患病的关系。方法研究对象来自于2017年2~8月在山东省荣成市进行的流行病学调查,通过问卷调查、体格检查等方式收集研究对象的相关信息。采用多元Logistic回归模型分析睡眠质量和糖尿病患病的关系。结果本研究共纳入60 215名研究对象的调查数据,患有糖尿病的有9 353人,患病率达15.5%,其中睡眠质量好、一般、差人群的比例分别为50.4%、30.6%、19.0%。经调整年龄,性别等相关因素后,与睡眠质量好相比,睡眠质量差的人群患糖尿病的风险升高,差异有统计学意义(OR=1.09,95%CI:1.03~1.16,P=0.005)。结论高血压患者中睡眠质量差的人患糖尿病的风险高,提倡早睡早起等良好的睡觉习惯,降低糖尿病的患病风险。

Objective To explore the relationship of sleep quality and the risk of diabetes in hypertensive adults in northern coastal areas of China. Methods The subjects of the study came from the epidemiological investigation conducted in Rongcheng, Shandong province from February to August 2017. Information on the subjects was collected through ques- tionnaires and physical examinations. Multiple Logistic regression models were used to evaluate the relationship between sleep quality and diabetes. Results A total of 60 215 hypertensive adults were included in the final analysis. There were 9 353 hypertensive adults with diabetes and the prevalence rate was 15.5%. The proportions of good sleep quality, com- mon sleep quality and poor sleep quality were 50. 4% , 30. 6% and 19. 0% , respectively. Compared with participants with good sleep quality, the significantly higher risk of diabetes was observed in those with poor sleep quality （ OR = 1.09, 95% CI： 1.03-1.16,P =0. 005） after adjusting for relevant factors such as age and sex. Conclusions People with poor sleep quality have high risk of diabetes among hypertensive adults. Therefore, we should advocate good sleep habits such as early bedtime and early morning sleep to reduce the risk of diabetes.